Ch 16 Nursing Assessment

Question 1

Name the three types of assessment.
Is each type problem focused, comprehensive, or both.

Answer 1

Patient-centered interview (conducted during a nursing history)​ - comprehensive

Periodic assessments (conducted during ongoing contact with patients)​ - problem focused

Physical examination (conducted during a nursing history and at any time a patient presents a symptom)

can be problem focused or comprehensive, as needed.

Question 2

What is nursing assessment?

Answer 2

The collection, review, and analysis of data make up the process of assessment:

*Collection of information from a primary source (a patient) and secondary sources ​

*The interpretation and validation of data to determine whether more data are needed or the database is complete.

Question 3

What are the four communication skills Campbell emphasized?

Answer 3

courtesy, comfort, connection, confirmation

Remember with: Hello, howareyou, I care, ok

Question 4

What are the six interview techniques?
Which are useful and which are to be avoided

Answer 4

Observation​ - Always useful

Open-ended questions​ - Useful when trying to get someone to open up

Direct closed-ended questions​ - Useful when trying to get specific info quickly

Leading questions​ - Not useful. Stop it

Back channeling​ - saying uh huh, yeah, etc, Useful for showing interest

Probing​ - Useful at times, but can be used poorly

Question 5

How does the environment affect an assessment?

Answer 5

Setting​ : ER, home, patient room​

Time pressure​: Be sure to prioritize​

Task complexity​: Based on individual patient & medical issues​

Interruptions​: Try to minimize​

Question 6

What are the five aspects of a health history?

Answer 6

Question 7

How do you assess symptoms?

Answer 7

How bad- Severity - use a scale
What is it like? if pain, we’re talking quality
Where - Location, radiating, etc
When - Onset, Intermittent or continual? If intermittent, when?
Why will it get worse or better?

Question 8

What are Gordons 11 functional health patterns?

Answer 8

Health Perception – Health Management Pattern​

Nutritional – Metabolic Pattern​

Elimination Pattern​

Activity – Exercise Pattern​

Cognitive – Perceptual Pattern​

Sleep – Rest Pattern​

Self-perception – Self-concept Pattern​

Role – Relationship Pattern​

Sexuality – Reproductive Pattern​

Coping – Stress Tolerance Pattern​

Value – Belief Pattern​

Question 9

What is the format of a health history?

Answer 9

Biographical information​

Chief concern or reason for seeking care​

Patient expectations​

Present illness or health concerns​ (PQRRST U)

Past health history​

Family history​

Psychosocial history​

Spiritual health​

Review of systems​

Observation of patient behavior​

Diagnostic and laboratory data​

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